Provider Demographics
NPI:1215926506
Name:PATZ, ROBERT L (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:PATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:825 WASHINGTON ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3441
Mailing Address - Country:US
Mailing Address - Phone:781-769-6720
Mailing Address - Fax:781-769-0691
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:SUITE 260
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-769-6720
Practice Address - Fax:781-769-0691
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2013-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA156936207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3205797Medicaid
MAJ19602OtherBCBS
MA171439OtherHPHC
MA796968OtherTUFTS
G26189Medicare UPIN
MAJ19602OtherBCBS